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See also Warning section.

This medication is employed to help relieve moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works within the brain to improve how your body feels and responds to pain.

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Read the Medication Guide furnished by your friendly phamacist before you begin taking tramadol and every time you recruit a refill. If you have any questions, ask your medical professional or pharmacist.

Take medicines by mouth as directed by your medical professional, usually every 3 to 4 hours if required to decrease your pain. You may take this drug with or without food. If you've nausea, it may help take this drug with food. Ask a medical expert or pharmacist about other ways to reduce nausea (such as resting for 1 or 2 hours with very little head movement as you possibly can).

The dosage is based on your condition and reaction to treatment. To reduce your likelihood of unwanted effects, your medical professional may direct one to start medicines at the low dose and gradually enhance your dose. Follow your doctor's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are older than 75 years, the most recommended dose is 300 milligrams daily. Do not enhance your dose, go ahead and take medication more frequently, or go much more time than prescribed. Properly stop the medication when so directed.

Pain medications work most effectively when they are used because first indications of pain occur. If you hold back until the pain has worsened, the medication might not exactly are well.

If you've ongoing pain (for example due to arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, medicines might be used by sudden (breakthrough) pain only if required. Other pain relievers (like acetaminophen, ibuprofen) are often prescribed. Ask a medical expert or pharmacist about using tramadol safely with other drugs.

This medication might cause withdrawal reactions, in particular when many experts have used regularly for some time or even in high doses. In such cases, withdrawal symptoms (including restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur should you suddenly stop using medicines. To prevent withdrawal reactions, your physician may lessen your dose gradually. Consult your doctor or pharmacist for more information, and report any withdrawal reactions immediately.

When this medication is useful for a long time, it could not work as well. Talk with your medical professional if prescription drugs stops working well.

Though it helps lots of people, medicines may sometimes cause addiction. This risk may be higher if you've an element use disorder (for example overuse of or obsession with drugs/alcohol). Take prescription drugs just as prescribed to reduce the likelihood of addiction. Ask a medical expert or pharmacist for more information.

Tell your doctor if your pain persists or worsens.

Side Effects

See also Warning section.

Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you've got been using medicines for some time. If these effects persist or worsen, tell a medical expert or pharmacist promptly.

To prevent constipation, eat fibers, drink enough water, and use. Consult the pharmacist for assist in deciding on a laxative (such as a stimulant type with stool softener).

To reduce the chance of dizziness and lightheadedness, get out of bed slowly when rising from the sitting or lying position.

Remember that your doctor has prescribed prescription drugs because he or she has judged the profit to you is more than the probability of negative effects. Many people using prescription drugs would not have serious unwanted side effects.

Tell your physician immediately if you've got any serious side effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands broken well (including decrease of appetite, unusual tiredness, weight reduction).

Get medical help without delay if you have any grave side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely result in a much more severe condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all of the drugs you are taking (see Drug Interactions section). Get medical help immediately if you develop a number of the following symptoms: fast heartbeat, hallucinations, lack of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

Tramadol is changed right into a strong opioid drug in your body. In some people, this variation happens faster plus much more completely than usual, which increases the probability of much more severe unwanted effects. Get medical help right away in case you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.

A grave hypersensitivity for this drug is rare. However, get medical help without delay should you notice the following symptoms: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.

This just isn't a complete report on possible unwanted side effects. If you notice other effects unlisted above, contact your doctor or pharmacist.

In the US -

Call your medical professional for medical health advice about unwanted side effects. You may report side effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your physician for medical advice about unwanted effects. You may report negative effects to Health Canada at 1-866-234-2345.


Before taking tramadol, tell a medical expert or pharmacist should you are allergic with it; or if you might have some other allergies. This product may contain inactive ingredients, which could cause allergic reactions or another problems. Talk to your pharmacist for additional information.

Before using medicines, tell your doctor or pharmacist your track record, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (like asthma, stop snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (including confusion, depression, suicidal thoughts), personal or family history of a substance use disorder (like overuse of or addiction to drugs/alcohol), stomach/intestinal problems (for example blockage, constipation, diarrhea as a result of infection, paralytic ileus), difficulty urinating (for example as a result of enlarged prostate), gallbladder disease, disease from the pancreas (pancreatitis), obesity.

This drug might make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or do just about anything that needs alertness and soon you can perform it safely. Avoid alcohol consumption. Talk to your medical professional should you are using marijuana.

Tramadol may cause a disorder that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (like severe dizziness, fainting) that need medical attention straight away.

The probability of QT prolongation could possibly be increased if you have certain health concerns or are taking other drugs that may cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the so-called drugs you are taking and when you've got these things conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), genealogy of certain cardiovascular disease (QT prolongation inside EKG, sudden cardiac death).

Low degrees of potassium or magnesium within the blood may also raise your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you've conditions such as severe sweating, diarrhea, or vomiting. Talk to a medical expert about using tramadol safely.

Before having surgery, tell your medical professional or dentist about all of the products you utilize (including medications, nonprescription drugs, and herbal products).

Some children may be more understanding of much more severe unwanted side effects of tramadol, including extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

Older adults could be more responsive to the negative effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).

During pregnancy, medicines must be used only if clearly needed. It may harm an developing fetus. Discuss the hazards and benefits with your doctor. (See also Warning section.)

This medication passes into breast milk and may have undesirable effects with a nursing infant, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug is not recommended. Consult your physician before breast-feeding.

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